Organization Active NPI

Premo Limousine Service of Wny LLC

  • Non-emergency Medical Transport (VAN)
  • Olean, NY
National Provider Identifier
1114235017
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
411337193 Issued in NY
Legal business name
PREMO LIMOUSINE SERVICE OF WNY LLC
Practice address
301 S Union St
Olean, NY 14760-3637
Phone
(716) 372-4546
Fax
(716) 372-4622
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Joseph Carucci
Title
Managing Member
Phone
(716) 372-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 411337193 NY Primary

Addresses

Primary practice location

301 S Union St
Olean, NY 14760-3637

Mailing address

301 S Union St
Olean, NY 14760-3637
Phone (716) 372-4546

National Provider Directory

National Provider Directory

Locations

301 S Union St
Olean, NY 14760
Phone (716) 372-4546

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1114235017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603637",
            "telephone_number": "716-372-4546",
            "fax_number": "716-372-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147603637",
            "telephone_number": "716-372-4546",
            "fax_number": "716-372-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMO LIMOUSINE SERVICE OF WNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "CARUCCI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "716-372-4546"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "411337193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.